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Individual

DR. BRENT MAUSBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8950 VILLA LA JOLLA DR STE C101, LA JOLLA, CA 92037
(858) 534-7792
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21469
CA

Other

Enumeration date
02/20/2014
Last updated
06/04/2019
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